How I Treat
TMJ Therapy with Carolyn Silan, PT

Before you consider a night guard or surgery — have you tried Physical Therapy?
If you’re living with jaw pain, headaches, clicking, locking, or difficulty chewing, you’re not alone. TMJ dysfunction affects millions of people — and many never realize that Physical Therapy can be one of the most effective treatments available.
What is TMJ dysfunction?
The temporomandibular joint connects your jaw to your skull and works every time you talk, chew, yawn, or swallow. When this joint and the surrounding muscles, nerves, and connective tissue are out of balance, the result can be:
- Jaw pain or soreness
- Headaches and facial tension
- Neck and shoulder pain
- Clicking, popping, or locking of the jaw
- Difficulty opening your mouth fully
- Teeth clenching or grinding (bruxism)
How Physical Therapy treats TMJ
At Therapeutic Connection Physical Therapy & Wellness, I offer comprehensive treatment specific to the jaw, including:
Therapeutic hands-on techniques
- External and internal soft tissue mobilization and massage
- Joint mobilization to improve range of motion and mouth opening
- Neuromuscular re-education to retrain proper jaw movement patterns and breathing, reducing muscle guarding
- Postural correction
Self-care & home program
- Self-care education tailored to your jaw condition
- Simple exercises to support and maintain your progress between sessions
Why Physical Therapy?
Physical Therapy addresses the root cause — not just the symptoms. Rather than masking pain or relying solely on appliances, I identify the mechanical, muscular, and postural factors driving your TMJ dysfunction and treat them directly.
Many patients experience meaningful improvement within just a few sessions.
Therapeutic Connection Physical Therapy & Wellness — Waikoloa Village | Kohala Coast Concierge Services
Disclaimer: The information provided here is for general informational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always consult with a licensed healthcare provider or Physical Therapist before making changes to your diet, exercise routine, or supplement regimen. If you experience any pain, discomfort, or adverse effects while following any of the suggestions mentioned, discontinue immediately and seek professional guidance. Your health and safety are our top priorities.
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New here? Fill out the New Client Intake Form before your first visit, so Carolyn knows your history before you arrive.
